person
Emerson Charley, LSAA
Addiction (Substance Use Disorder) Counselor in Gallup, New Mexico
NPI 1497116206

Emerson Charley is an Addiction (Substance Use Disorder) Counselor based in Santa Fe, NM and is specialized in Addiction (Substance Use Disorder). Emerson Charley practices in Gallup, NM and has the professional credentials of LSAA. The NPI Number for Emerson Charley is 1497116206 and holds a License No. CSA0209321 (New Mexico).

The current practice location address for Emerson Charley is 2105 Hasler Valley Rd, Gallup, NM and can be reached out via phone at 505-471-4985.

Location: 2105 Hasler Valley Rd, Gallup, NM, 87507-4851
person
Provider Profile Details
NPI Number
1497116206
Provider Name
Emerson Charley
Credential
LSAA
Provider Entity Type
Individual
Gender
Male
Address
2105 Hasler Valley Rd, Gallup, NM, 87507-4851
Phone Number
505-471-4985
Fax Number
Provider Enumeration Date
03/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2105 Hasler Valley Rd
City
State
Zip
87301-8730
Phone Number
505-471-4985
Fax Number
person
Provider Business Mailing Address Details
Address
2105 Hasler Valley Rd
City
State
Zip
87301-8730
Phone Number
505-471-4985
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CSA0209321 (New Mexico)
Definition
Definition to come...
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